Routine inspection·January 29, 2026

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 10:37AM. The LPA met with Administrator Yuliya Asatryan who arrived at 11:19AM. Entrance interview conducted. Beginning at 11:20AM, the LPA and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and facility is in compliance with Title 22 Regulations. The following was observed: COMMON AREAS: At the time of the visit, two (2) living room and dining room furniture were observed to be in good condition. The LPA observed staff personal belongings in the dining room which included a medication bottle and pill organizer that was accessible to residents. The staff secured the items. Required postings were observed on the walls. The facility maintained a comfortable temperature throughout the visit. The first living room had a screened fireplace. There was a laundry area with secured cabinets containing cleaning supplies and detergent. KITCHEN: The LPA observed knives and cleaning supplies secured. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable food and non-perishable food supply was not sufficient for seven (7) days. Food in the refrigerator and freezer were observed to be properly stored with labels and dates. The kitchen also contained centrally stored medications. There were two (2) cabinets and one (1) drawer that contained medications and only one (1) cabinet was secured. The Administrator stated they didn’t know the additional medication needed to be secured. Report Continued on LIC 809-C BEDROOMS/RESTROOMS: There were six (6) total bedrooms: four (4) private resident rooms, one (1) shared resident room, and one (1) secured staff room. Each resident bedroom had a direct exit to the outside with the facility approved for one (1) bedridden resident. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. Extra linens and supplies were stored in the hallway closet. There were two (2) total restrooms in the facility, both shared restrooms located in the hallways. One (1) restroom contained secured staff hygiene products. Restrooms were clean and sanitary and in operating condition with grab bars and non-slip surfaces. All restrooms were sufficiently stocked with soap, paper products, and displayed hand washing signs. Hot water was tested and measured between 105.8 degrees F and 111.4 degrees F which is within the required range per regulation. OUTDOOR AREA: The surrounding grounds had multiple shaded patio areas equipped with furniture in good condition for resident and visitor use. There were two (2) emergency exit gates located on each side of the facility. Exits and passageways were free of obstruction. There was a gated driveway/carport that contained general storage and a shed. The LPA observed an accessible bag of medications belonging to a prior resident that was not destroyed. The Administrator stated the family planned to pick it up; however, has continued to push the date back. There was a cabinet that contained emergency food that the LPA observed to have expired canned and bottled items ranging between 2024 to 2025. RECORDS: Record review began at 12:03PM. Resident records were reviewed for, but not limited to care plans, physician's report, admissions agreement, and consent forms. Resident #1 (R1) and Resident #2 (R2) had incomplete files and R1 was admitted on 01/17/2026 and did not complete a Pre-Admission Appraisal. Three (3) residents did not have updated Appraisals, and two (2) residents did not have updated Physician’s Reports. Personnel records were reviewed for, but not limited to health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. Report Continued on LIC 809-C One (1) staff did not have a health screening on file, and two (2) staff did not have a TB test on file. Staff annual training included two (2) hours of dementia and six (6) hours of medication with no training on postural support or restricted health conditions. The Administrator did not have knowledge of training requirements. INFECTION CONTROL/EMERGENCY DISASTER PLAN: During today's visit, LPA reviewed the facility's infection control plan and emergency disaster plan. Both documents were observed to be complete and were not reviewed annually as required. Fire extinguishers were observed throughout the facility and were last serviced on 03/24/2025. Emergency disaster drills are not conducted quarterly, with the last documented drill on 09/09/2025. Smoke and carbon monoxide detectors were tested at 1:15PM and were operational. MEDICATIONS: Medication review began at 1:31PM. Medications were centrally stored in the kitchen. Medications were observed for two (2) residents. R2 was prescribed Quetiapine Fumarate and instructed one (1) tab twice daily. The medication started on 01/01/2026 and had nine (9) tabs extra. The staff and Administrator stated R2 refused on one (1) occasion; however, there were no records of refusal. Resident #3 (R3) was prescribed Metoprolol and Magnesium Oxide and both instructed one (1) tab daily. Both medications started on 01/13/2026 and each had one (1) tab extra. The LPA observed the facility prepared medications two (2) days in advance and stated they can no longer do so per regulation. The Administrator disagreed with the regulation and stated that it would cause medication errors due to multiple staff handling medications. Pursuant to Title 22 CA Code of Regulations and/or the Health and Safety Code, the following deficiencies were cited (Refer to LIC 809-D). Exit interview conducted. A copy of the appeal rights and report was reviewed and provided.